# NICOLE CARROZZA PSYCHOLOGIST PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659093797
- **Authorized official:** DR. NICOLE CARROZZA PSY.D (PSYCHOLOGIST)
- **Authorized official phone:** (347) 422-6551

## Contact information

- **Practice address:** 237 BEACH 122ND ST, ROCKAWAY PARK, NY 11694-2182
- **Practice address phone:** (347) 422-6551
- **Mailing address:** 184 WOLVERINE ST, STATEN ISLAND, NY 10306-1744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TS0200X | School Psychologist | — | NULL | — |
| 103TS0200X | School Psychologist | — | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2022
- **Last updated:** 09/15/2022